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A Study of LY2409021 on Blood Pressure and Pulse Rate in Participants With Type 2 Diabetes Mellitus

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Status and phase

Completed
Phase 2

Conditions

Type 2 Diabetes Mellitus

Treatments

Drug: Metformin
Drug: Placebo
Drug: LY2409021

Study type

Interventional

Funder types

Industry

Identifiers

NCT02091362
I1R-MC-GLDI (Other Identifier)
2013-003834-33 (EudraCT Number)
15261

Details and patient eligibility

About

The main purpose of the trial is to determine the effect of a study drug known as LY2409021 on blood pressure and pulse rate in participants with type 2 diabetes mellitus (T2DM) when compared to placebo. The study has two periods. Each participant will receive LY2409021 or placebo in each period. At least 4 weeks will pass between periods. The study will last about 23 weeks for each participant. Participants may remain on stable dose metformin, as prescribed by their personal physician.

Enrollment

270 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Have type 2 diabetes mellitus (according to the World Health Organization diagnostic criteria) and use diet and exercise alone or in combination with a stable dose of metformin ( >/=1000 mg/day [or <1000 mg, if documented intolerance to 1000 mg or higher dosages] immediate-release metformin or extended-release metformin for at least 2 months before screening).

  • Have glycated hemoglobin (HbA1c) values >/=6.5% and </=8.5%, as determined by the central laboratory at screening.

  • Have mean blood pressures >90/60 millimeters of mercury (mm Hg) and <140/90 mm Hg at screening.

  • If being treated for hypertension, are taking 3 or fewer antihypertensive medications and have been taking stable doses of the same medications for at least 1 month before screening.

  • Stable body weights (±5%) for >/=3 months before screening.

  • Body mass indexes >/=20 kilograms/meters squared (kg/m²) and <40 kg/m².

  • In the investigator's opinion, are well motivated, capable, and willing to:

    • Reliably administer the oral study drug once daily;
    • Maintain a study diary;
    • Perform self-monitored blood glucose testing; and
    • Wear an ambulatory blood pressure monitoring device for at least 24 hours (on multiple occasions).
  • Are women not of child-bearing potential due to:

    • Surgical sterilization, hysterectomy, or bilateral oophorectomy (at least 6 weeks postsurgery) or tubal ligation (confirmed by medical history); or
    • Menopause. Women with an intact uterus are deemed menopausal if they have a cessation of menses for at least 1 year with follicle stimulating hormone >40 milli-international units per milliliter (mIU/mL), are not taking hormones or oral contraceptives within 1 year, and are otherwise healthy.
  • Males who are sexually active and/or have partners of child-bearing age must use reliable methods of birth control during the study and until 3 months after the last doses of study medication. These requirements do not apply if a participant or his partner has been surgically sterilized or is not between menarche and 1 year postmenopausal.

Exclusion criteria

  • Have severe gastrointestinal disease that may significantly affect gastric emptying or motility.
  • Previous histories or active diagnoses of pancreatitis.
  • Acute or chronic hepatitis, signs or symptoms of any other liver disease, or alanine aminotransferase (ALT) level greater than 2.5 times the upper limit of normal (ULN).
  • Elevated total bilirubin (greater than 2 times ULN), clinically suspicious signs or symptoms of cirrhosis or history of cirrhosis.
  • Mean resting pulse rate (PR) less than 60 beats per minute (bpm) or greater than 100 bpm.
  • Current diagnosis or personal history of neuroendocrine tumors, family history of any type of multiple endocrine neoplasia, or Von Hippel-Lindau disease.

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Triple Blind

270 participants in 2 patient groups, including a placebo group

Placebo
Placebo Comparator group
Description:
Single daily dose of placebo matching LY2409021 administered orally in 1 of 2 treatment periods.
Treatment:
Drug: Metformin
Drug: Placebo
LY2409021
Experimental group
Description:
Single daily dose of 20 milligrams (mg) LY2409021 administered orally in 1 of 2 treatment periods.
Treatment:
Drug: Metformin
Drug: LY2409021

Trial contacts and locations

30

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Data sourced from clinicaltrials.gov

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